Professional Documents
Culture Documents
Memory
• Chris Rorden
• Anterograde Amnesia
• Short vs Long Term Memory
• Episodic vs Procedural Memory
• Confabulation
www.mricro.com
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HM
Severe epilepsy, treated with surgery to bilaterally remove medial temporal lobes.
Operation 9/1953, 27 years old
Tested 4/1955, age 29
– Reported date as 3/1953, age of 27
– No memories since operation
– IQ better than pre-op (112)
– Fewer seizures
Profound failure to create new memories
– Can’t find new home (after 10 mos.)
– Can’t remember new people, names, tasks
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HM
Deficits
Complete loss of episodic memory
– Events/People since operation
Location of new home
Rey figure: copy but not recalled
Semantic memory
– Language essentially frozen in 50’s (Gabrieli et al. 1988)
Exceptions: ayatollah, rock ‘n roll
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retrograde anterograde
Memory
1/9/1953
1945 1950 1955
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HM working memory
HM procedural memory
Intactprocedural memory
Can learn new motor tasks
– Mirror tracing task (Milner 1962, 1965)
– Pursuit rotor tracing (Corkin, 1968)
– Implicitly familiar w testing equipment
– Anterograde amnesics can learn new piano
pieces (Starr & Phillips, 1970)
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HM implicit memory
HM implicit memory
Guy Pierce
Sammy Jenkins
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HM
1/9/1953
1945 1950 1955
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MTL patients
– Short term memory intact
– Old long term memory intact
– Suggests ‘consolidation’ deficit
‘Encoding’ deficit, retrieval intact
– See Warrington & Weiskrantz for alternate view
Unable to create new LTM
LTM formation requires years?
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Anatomy
Anterograde Amnesia
Hippocampal formation - HM
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Folded shape
seen in coronal
image.
Here: healthy
individual
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HM’s lesion
Surgeon report describes removal of entire hippocampus (Scoville & Milner, 1957).
Recent MRI (Corkin et al., 1997) study suggests posterior hippocampus is present (though atrophied).
HM’s lesion
Corkin et al. (1997)
bilaterally symmetrical
– medial temporal pole
– most of the amygdaloid complex
– most or all of the entorhinal cortex
– anterior half of hippocampal formation (dentate gyrus, hippocampus,
and subicular complex)
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1 2 3 4 5 6 7 8 9 10
Item Number
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1 2 3 4 5 6 7 8 9 10
Item Number
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Memory
Short term
Long term (working)
memory memory
% recall
1 2 3 4 5 6 7 8 9 10
Item Number
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Patient KF
1 2 3 4 5 6 7 8 9 10
Item Number
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Potential Paradox
1 2 3 4 5 6 7 8 9 10
Item Number
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Phonological Loop
MTL amnesics
– Explicit memory: unable to create
– Implicit memory: relatively intact
So far: single dissociation
– 2 possibilities:
1. Implicit/Explicit 2 independent systems
2. Implicit simply easier, relies on residual processing of a
single, partially damaged system
– Double dissociation would support claim of 2
independent systems
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C: Results
Explicit memory task
– Shown 24 words, later shown 48 words (24 from 1st phase, 24 new
foils): asked to say if words were previously seen.
– Amnesics poor.
– MS fine.
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D: Conclusion
Implicit memory: word completion task
– Shown/Heard 24 words ‘stick’, later asked to complete 48 stems, 24 could be solved with
items from 1st phase (‘sti__’) and 24 unrelated stems (‘sta__’).
– Healthy people show priming effect (faster if solution seen previously). This effect is much
bigger if words were seen (physical match) rather than heard.
– Amensics show normal priming. Shows implicit memory.
– MS visual priming is no greater than auditory priming. Therefore, shows no extra benefit
for physical match of stem and previously seen word.
Conclusion
Double dissociation
Explicit memory has some distinct processing from
implicit memory.
‘Conceptual’ priming intact in MS, perceptual
priming damaged
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B: Test stimuli
A: Semantic naming task (‘phone’)
– Correct answer: ‘phone’.
C: Semantic naming
Semantic
dementia
patients have
difficulty
naming items.
AD patients are
fine at this task.
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D: Episodic memory
AD patients
– poor episodic memory.
SD patients
– OK with identical items
– Poor with perceptually
different (especially if
unable to name item in
picture naming phase).
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E: Conclusions
Suggestssemantic and episodic memory may
be separate.
– Hippocampal formation: encoding episodic
memories
– Temporal lobe: storage of semantic memories.
Spontaneous confabulation
Confabulation syndrome:
– Spontaneously produce confabulations (no
need to make things up, no external trigger)
– Convinced of accuracy of their
confabulations
– Acted on confabulations (indication of
conviction)
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Double dissociation
Spontaneous and provoked confabulation
dissociate: Schnider et al. (1996), Brain 119,
1365-1375.
Spontaneous confabulation
– Generate false memories without prompting
– Often whole gist of memory is false
Provoked confabulation, false recognition:
– Can be seen in healthy adults
– Accidentally report having seen word earlier in list if it
is similar to previous word
– Errors with small details of overall story
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Example of spontaneous
confabulator
58-yearold woman
Aneurysm of anterior communicating artery.
– Reported: needed to go home to feed her baby
– Her ‘baby’ was 30 years old
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Case 2
Reflections
Eliciting confabulations
Individual is asked if they saw an image before earlier
in run.
Do not report having seen image if you only saw it in a
previous run.
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Eliciting confabulations
Both amnesics and confabulators do poorly at
remembering if they have seen an item before.
Amnesics forget previously seen items.
Confabulators report having seen an image from
previous set in current set.
Problem with context, not recognition per se.
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Anatomy of confabulations